Girls on the Move Intervention to Increase Physical Activity Among Middle School Girls

NCT01503333 | Completed Results DMC

• 1 other identifier: 1R01HL109101
• Study Type: interventional
• Target: 1,543
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this school-based trial is to test the efficacy of an intervention to increase moderate to vigorous physical activity (MVPA) among middle school girls. The 17-week "Girls on the Move" (GOTM) intervention has 3 components. Two individual-level components occurring during school hours include: (1) two face-to-face motivational, individually tailored counseling sessions with a school nurse, and (2) an interactive Internet-based session during which each girl receives motivational, individually tailored feedback messages (at 9 weeks). A group-level component, 90-minute Physical Activity (PA) Club provides an important venue after school that includes activities to assist girls in establishing a behavioral pattern of MVPA. The control condition will complete data collection activities and receive their usual school offerings. The investigators hypothesize that immediately post-intervention, minutes of MVPA will be greater by 16 min./wk. in the intervention than control group; At 9 months post-intervention follow-up, minutes of MVPA will be greater in the intervention than control group; and immediately post-intervention, cardiovascular (CV) fitness will be higher and body mass index (BMI) and percent body fat will be lower in the intervention than control group.

Conditions

Physical Activity

Keywords

exercise; adolescent; intervention; female; counseling

Outcome Measures

Primary Outcomes (1)

• Minutes of Moderate to Vigorous Physical Activity (MVPA) Post-intervention

  Minutes of MVPA were measured via ActiGraph GT3X+ accelerometers worn on an elastic belt at the right hip for 7 consecutive days, including 5 weekdays and 2 weekend days at post-intervention. Monitors were set to start collecting and storing data in raw format beginning 5:00 A.M. on the day after they were distributed to girls each school. Data were re-integrated to 15-second epochs and processed using established intensity cut-points. One week after distribution, data collectors returned to each school to collect the accelerometers. The majority (1386 \[post-intervention\] of 1519 girls \[baseline\], 91.24%) provided at least 8 hours of data on 3 weekdays and 1 weekend day. An imputation approach based on all available data in hour blocks on all 7 days was implemented. Wear time was standardized to 14 hours/weekday (one hour before each school's actual start time; 7 hours during school; 6 hours after school) and 10 hours/weekend day (later awake time from 11 a.m. to 9 p.m.).

  Minutes of moderate to vigorous physical activity per hour at post-intervention (after 17-week intervention)

Secondary Outcomes (3)

• Cardiovascular Fitness (Aerobic Performance)

  Cardiovascular fitness after 17-week intervention (post-intervention)

• Body Mass Index (BMI) Z-score

  Body mass index z-score at post-intervention (after 17-week intervention)

• Percent Body Fat

  Percent body fat at post-intervention (immediately after 17-week intervention)

Other Outcomes (7)

• Minutes of Moderate-to-Vigorous Physical Activity 9-month Follow up

  9 months after the end of the 17-week intervention

• Perceived Benefits of Physical Activity

  baseline to post-intervention

• Perceived Barriers to Physical Activity

  Baseline to post-intervention

Study Arms (2)

Control

NO INTERVENTION

The control condition will complete data collection activities and receive their usual school offerings.

Physical activity intervention

EXPERIMENTAL

Receiving Physical activity intervention which includes individual counseling with the school nurse, tailored feedback from computer program, and after-school physical activity club.

Behavioral: Physical activity intervention

Interventions

Physical activity intervention BEHAVIORAL

Receiving individual counseling with the school nurse, tailored feedback from computer program, and after-school physical activity club.

Physical activity intervention

Eligibility Criteria

• Age: 9 Years - 14 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• th- 6th- and 7th-grade girls (ages 9-14; 8th-graders if needed in middle schools having only 7th- and 8th- grades)
• Available and willing to participate in PA Club 3 days/wk. for 17wks.
• Available for follow-up (9 mos. after intervention ends)
• Agree to random assignment
• Able to read, understand, and speak English.

You may not qualify if:

• Involved in or planning to be involved in school or community sports or other organized PAs, such as dance lessons, that involve MVPA and require participation 3 or more days/wk. after school during every season of the school year
• A health condition precluding safe MVPA.

Sponsors & Collaborators

• Michigan State University: lead
• University of Michigan: collaborator

Study Sites (1)

Michigan State University

East Lansing, Michigan, 48824, United States

Location

Related Publications (14)

• Robbins LB, Pfeiffer KA, Vermeesch A, Resnicow K, You Z, An L, Wesolek SM. "Girls on the Move" intervention protocol for increasing physical activity among low-active underserved urban girls: a group randomized trial. BMC Public Health. 2013 May 15;13:474. doi: 10.1186/1471-2458-13-474.

  PMID: 23672272 BACKGROUND

• Ling J, Robbins LB, Resnicow K, Bakhoya M. Social support and peer norms scales for physical activity in adolescents. Am J Health Behav. 2014 Nov;38(6):881-9. doi: 10.5993/AJHB.38.6.10.

  PMID: 25207514 BACKGROUND

• Vermeesch AL, Ling J, Voskuil VR, Bakhoya M, Wesolek SM, Bourne KA, Pfeiffer KA, Robbins LB. Biological and Sociocultural Differences in Perceived Barriers to Physical Activity Among Fifth- to Seventh-Grade Urban Girls. Nurs Res. 2015 Sep-Oct;64(5):342-50. doi: 10.1097/NNR.0000000000000113.

  PMID: 26325276 BACKGROUND

• Robbins LB, Ling J, Wesolek SM, Kazanis AS, Bourne KA, Resnicow K. Reliability and Validity of the Commitment to Physical Activity Scale for Adolescents. Am J Health Promot. 2017 Jul;31(4):343-352. doi: 10.4278/ajhp.150114-QUAN-665. Epub 2016 Nov 17.

  PMID: 26730556 BACKGROUND

• Gammon C, Pfeiffer KA, Kazanis A, Ling J, Robbins LB. Cardiorespiratory fitness in urban adolescent girls: associations with race and pubertal status. J Sports Sci. 2017 Jan;35(1):29-34. doi: 10.1080/02640414.2016.1154594. Epub 2016 Mar 4.

  PMID: 26942487 BACKGROUND

• Robbins LB, Ling J, Toruner EK, Bourne KA, Pfeiffer KA. Examining reach, dose, and fidelity of the "Girls on the Move" after-school physical activity club: a process evaluation. BMC Public Health. 2016 Jul 30;16:671. doi: 10.1186/s12889-016-3329-x.

  PMID: 27473613 BACKGROUND

• Bakhoya M, Ling J, Pfeiffer KA, Robbins LB. Evaluating Mailed Motivational, Individually Tailored Postcard Boosters for Promoting Girls' Postintervention Moderate-to-Vigorous Physical Activity. Nurs Res. 2016 Sep-Oct;65(5):415-20. doi: 10.1097/NNR.0000000000000173.

  PMID: 27579509 BACKGROUND

• Ling J, Robbins LB. Psychometric Evaluation of Three Psychosocial Measures Associated With Physical Activity Among Adolescent Girls. J Sch Nurs. 2017 Oct;33(5):344-354. doi: 10.1177/1059840516685857. Epub 2016 Dec 29.

  PMID: 28030983 BACKGROUND

• Voskuil VR, Pierce SJ, Robbins LB. Comparing the Psychometric Properties of Two Physical Activity Self-Efficacy Instruments in Urban, Adolescent Girls: Validity, Measurement Invariance, and Reliability. Front Psychol. 2017 Aug 3;8:1301. doi: 10.3389/fpsyg.2017.01301. eCollection 2017.

  PMID: 28824487 BACKGROUND

• Robbins LB, Ling J, Resnicow K. Demographic differences in and correlates of perceived body image discrepancy among urban adolescent girls: a cross-sectional study. BMC Pediatr. 2017 Dec 6;17(1):201. doi: 10.1186/s12887-017-0952-3.

  PMID: 29207976 BACKGROUND

• Robbins LB, Ling J, Dalimonte-Merckling DM, Sharma DB, Bakhoya M, Pfeiffer KA. Sources and Types of Social Support for Physical Activity Perceived by Fifth to Eighth Grade Girls. J Nurs Scholarsh. 2018 Mar;50(2):172-180. doi: 10.1111/jnu.12369. Epub 2017 Dec 21.

  PMID: 29266689 BACKGROUND

• Robbins LB, Ling J, Wen F. Moderators in a physical activity intervention for adolescent girls. Pediatr Res. 2020 Nov;88(5):810-817. doi: 10.1038/s41390-020-0818-5. Epub 2020 Mar 2.

  PMID: 32120378 DERIVED

• Pfeiffer KA, Robbins LB, Ling J, Sharma DB, Dalimonte-Merckling DM, Voskuil VR, Kaciroti N, Resnicow K. Effects of the Girls on the Move randomized trial on adiposity and aerobic performance (secondary outcomes) in low-income adolescent girls. Pediatr Obes. 2019 Nov;14(11):e12559. doi: 10.1111/ijpo.12559. Epub 2019 Jul 3.

  PMID: 31267695 DERIVED

• Robbins LB, Ling J, Sharma DB, Dalimonte-Merckling DM, Voskuil VR, Resnicow K, Kaciroti N, Pfeiffer KA. Intervention Effects of "Girls on the Move" on Increasing Physical Activity: A Group Randomized Trial. Ann Behav Med. 2019 Mar 28;53(5):493-500. doi: 10.1093/abm/kay054.

  PMID: 29985968 DERIVED

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Limitations and Caveats

Costs were not analyzed. Attendance at the physical activity (PA) club was less than optimal. Study lacked a plan for girls to sustain PA in post-intervention period. Generalizability may be limited (sample selected from certain geographical area).

Results Point of Contact

• Title: Dr. Lorraine Robbins
• Organization: Michigan State University College of Nursing

Lorraine.Robbins@hc.msu.edu

517-353-3011

Study Officials

• Lorraine B Robbins, PhD

  Michigan State University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: December 23, 2011
• First Posted: January 4, 2012
• Study Start: September 1, 2011
• Primary Completion: May 1, 2016
• Study Completion: May 1, 2016
• Last Updated: November 21, 2018
• Results First Posted: November 21, 2018

Record last verified: 2018-11

Locations

US (1)